Individual
JAMES OSCAR GWINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
345 PRINCE ST STE 1, BECKLEY, WV 25801-4515
(304) 731-0925
Mailing address
PO BOX 46, MABSCOTT, WV 25871-0046
(304) 731-0925
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-9307
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326521840
—
WV
Enumeration date
01/13/2023
Last updated
01/13/2023
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